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Completed

NCT Number: NCT04162925

Cancer Screening Utilization Rates and Cancer Screening Perspectives of Hospitalized Women

Breast and colon cancers are commonly diagnosed cancers among women after skin cancer in Maryland. Patients' preferences for cancer screening are known to significantly influence utilization, and thus impact health outcomes. In a recent study the investigators conducted at Johns Hopkins Bayview Medical Center, the investigators observed that among women age 50-75 years admitted to general medicine services over 4-month period, 40% were non-adherent to breast cancer screening (overdue) despite being insured.

Therefore, the investigators propose to establish a cohort of hospitalized women to help the investigators develop successful interventions for enhancing breast cancer screening utilization in this group. In following a cohort prospectively, the investigators intend to both reaffirm the results from the investigators' previous study and determine whether the patterns of mammographic screening improve over time as a result of the investigators' interventions. Among non-adherent (overdue) women, the investigators will educate and encourage these women to undergo outpatient screening mammography.

To more comprehensively assess the preventive health in this cohort, the investigators will assess the cohort's adherence to colon cancer screening recommendation and barriers to colon cancer screening.

In addition the investigators will also like to encourage the hospitalists and house staff taking care of these patients to perform oral cancer screen among women who smoke (non-adherent to breast cancer screening) Finally the investigators will also like to ask the perspective of cancer screening among these women.

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Key information

Conditions

Cancer Screening

Age range

50 year–75 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Women between the ages of 50 to 75 years admitted to medicine service at Johns Hopkins Bayview Medical Center
  • cancer free at baseline (excluding skin cancers)
  • willing to participate voluntarily

Exclusion criteria

  • history of breast cancer or mastectomy
  • history of other cancers (except skin) or serious comorbidities making life expectancy <10 years
  • pregnancy
  • dementia
  • chronic disability (unable to stand or nursing home resident)
  • current admission because of acute coronary event (heart attack) or stroke or pulmonary embolism
  • chronic kidney disease on hemodialysis
  • history of BRCA1 or BRCA2 gene mutation
  • current admission for cellulitis or abscess of breast

Treatment and study plan

Cancer screening education for breast, colon and oral cancers

Behavioral

Bedside education one-on-one by showing screening video and handouts at the end of educational session for breast, colon and oral cancer. Patient who are agreeable to oral cancer screen during hospitalization perform oral cancer screening

Primary outcomes

  1. Proportion of women non-adherent to breast cancer screening in this group

    Time frame: 3 years

    Proportion of women non-adherent to breast cancer screening will be assessed in these hospitalized women.

  2. Prevalence of breast cancer screening post intervention in this group

    Time frame: 3 years

    Prevalence of breast cancer screening post intervention will be assessed in these hospitalized women.

  3. Proportion of hospitalized women non-adherent to colon cancer screening

    Time frame: 3 years

    Proportion of hospitalized women non-adherent to colon cancer screening will be assessed in these hospitalized women.

  4. Perspective of hospitalized women about colon cancer screening as assessed by multiple choice questions

    Time frame: 3 years

    survey of hospitalized women using multiple choice 21 questions

  5. Perspective of hospitalized women about colon cancer screening as assessed by likert scale 21 questions

    Time frame: 3 years

    survey of hospitalized women using likert scale 21 questions

  6. Proportion of women non-adherent to oral cancer screening

    Time frame: 3 years

    Proportion of women non-adherent to oral cancer screening will be assessed in these hospitalized women.

  7. Number of women agreeable to inpatient oral cancer screening exam

    Time frame: 3 years

    oral cavity screening exam consisting of mouth and neck examination by hospital providers

  8. Perspective of hospitalized women in general about their preference for cancers screening as assessed by multiple choice questions

    Time frame: 3 years

    a survey consisting of 55 multiple choice questions

  9. Perspective of hospitalized women in general about their preference for cancers screening as assessed by likert scale

    Time frame: 3 years

    a survey with a likert scale

Sponsors and collaborators

Lead sponsor

Johns Hopkins University

Other

Collaborators

  • State of Maryland

Registry information

Important dates

Study start
2014
Primary completion
2017
Study completion
2022
First posted
Nov 14, 2019
Registry last updated
Dec 8, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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